Abstract
PURPOSE: to estimate the prevalence of Family Health Program postpartum depression (PPD) and its association with minor mental disorders (MMD) among women attended in two (FHP) PSF units, in the city of Sao Paulo, and to identify risk factors associated with PPD. METHODS:a cross-sectional study with 70 postpartum women from two FHP units (Fazenda da Juta II and Jardim Sinha), from October 2003 to February 2004. The following instruments were used: questionnaire with socio-demographical-economic data and obstetric and perinatal data; Self-Report Questionnaire 20 (SRQ-20), for screening of MMD, and Edinburgh Post-Natal Depression Scale (EPDS), for evaluation of PPD. To verify association between explanatory variables and PPD, Student's t test, c2 or linear trend c2 were utilized when indicated. To evaluate concordance between scales (EPDS and SRQ-20) kappa (k) coefficient correlation was used. RESULTS:the prevalence of PPD and MMD was 37.1%. Scales presented a good concordance (k=0.75). The explanatory variables age, ethnicity, years of education, profession, and marital status, besides partner's profession and years of education, familiar income, number of pregnancies, parity, miscarriage, number of alive children, premature deliveries, gestational age, type of delivery, planning of actual pregnancy, score of Apgar (first and five minutes), newborn sex and weight, and breastfeeding did not show significant statistical association. A greater perception of social support from the partner was associated with lower prevalence of PPD (p=0.03). CONCLUSION: because of its high prevalence and negative impact upon mother and child, it is worthwhile to sensitize health care professionals about the importance of PPD
Highlights
Purpose: to estimate the prevalence of Family Health Program postpartum depression (PPD) and its association with minor mental disorders (MMD) among women attended in two (FHP) PSF units, in the city of São Paulo, and to identify risk factors associated with PPD
O episódio depressivo maior é definido pela vigência de determinados sintomas pelo período mínimo de duas semanas, sendo obrigatória a presença do humor depressivo ou anedonia, associado a quatro dentre os demais sintomas: mudança significativa de peso ou do apetite, insônia ou sono excessivo, fadiga, agitação ou retardo psicomotor, sentimentos de desvalia ou culpa, perda de concentração e idéias de morte ou suicídio
Tais instrumentos podem ser utilizados por obstetras, enfermeiros e demais profissionais de saúde, no puerpério, possibilitando a identificação de casos de depressão puerperal (DP) e/ou transtornos mentais comuns (TMC), com posterior encaminhamento para o médico da equipe ou especialista, que determinará o tratamento adequado, de acordo com a intensidade dos sintomas
Summary
Rastreamento da depressão pós-parto em mulheres atendidas pelo Programa de Saúde da Família. Objetivos: estimar a prevalência de depressão puerperal (DP) sua associação com transtorno mental comum (TMC) nas mulheres atendidas por duas unidades do Programa de Saúde da Família (PSF) da cidade de São Paulo e identificar os fatores de risco associados à DP. Como instrumentos utilizaram-se: questionário com informações sociodemográficas econômicas e dados obstétricos e perinatais; Self-Report Questionnaire 20 (SRQ-20), para rastreamento de TMC e a Edinburgh Post-Natal Depression Scale (EPDS), para avaliação de DP. Para testar as associações entre variáveis explicativas (fatores de risco) e a presença de DP foram utilizados os testes t de Student, χ2 e χ2 de tendência linear, quando indicados. PALAVRAS-CHAVE: Depressão pós-parto; Prevalência; Transtornos mentais; Programa saúde da família
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
